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The psychological effects of improvised explosive devices (IEDs) on UK military personnel in Afghanistan.

Abstract：

OBJECTIVE:To explore the psychological consequences of improvised explosive device (IED) exposure as IEDs have been the greatest threat to UK military personnel in Afghanistan though the mental health consequences of IED exposure are largely unknown. METHOD:Deployed UK military personnel completed a survey while deployed in Afghanistan. Combat personnel and those dealing specifically with the IED threat were compared with all other deployed personnel; the relationship between IED exposure, general combat experiences, Post Traumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C) and General Health Questionnaire scores were evaluated. RESULTS:The response rate was 98% (n=2794). Half reported IED-related concerns, a third experienced exploding IEDs and a quarter gave medical aid to IED casualties. Combat and counter-IED threat personnel had higher levels of IED exposure than other deployed personnel. 18.8% of personnel who witnessed exploding IEDs scored positive for common mental disorder (General Health Questionnaire-12 scores ≥4) and 7.6% scored positive for probable PTSD symptoms (PTSD Checklist-Civilian Version scores ≥44). After adjusting for general combat exposure and other observed confounders, PTSD symptoms were associated with IED exposure whereas common mental disorder symptoms were not. IED exposure, IED-related concerns and functional impairment accumulated during deployment but functional impairment was related to factors other than IED exposure alone. CONCLUSIONS:In Afghanistan, a substantial proportion of personnel were exposed to exploding IEDs however, the majority of exposed personnel were psychologically healthy. Psychological effects were similar for combat personnel and those dealing specifically with the IED threat but both groups were at greater psychological risk than other deployed personnel.

journal_name

Occup Environ Med

journal_title

Occupational and environmental medicine

authors

Jones N,Thandi G,Fear NT,Wessely S,Greenberg N

doi

10.1136/oemed-2013-101903

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

466-71

issue

eissn

1351-0711

issn

1470-7926

pii

oemed-2013-101903

journal_volume

pub_type

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The psychological effects of improvised explosive devices (IEDs) on UK military personnel in Afghanistan.